Remote Coding Specialists, Edits/Denials

LexiCode; United States; Remote; USD 60,000 - 80,000; Full time

Job summary

Join LexiCode as a Remote Coding Specialist, where you will utilize your coding expertise to ensure compliance and accuracy in medical documentation. This role involves investigating claim edits, reviewing denials, and utilizing coding guidelines effectively to support the healthcare teams, all while working from the comfort of your home.

Benefits

Comprehensive health and wellness plans

401(k)-retirement savings plan

Paid time off

Qualifications

• 1+ years experience in Edits/Denials required.
• Proficient in ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding guidelines.
• Strong organizational skills and ability to meet deadlines.

Responsibilities

• Investigate coding edits and payer denials during claims processing.
• Review and appeal insurance claim denials.
• Assign medical codes accurately per clinical documentation.

Skills

Attention to Detail

Analytical Skills

Communication

Education

AHIMA credential (RHIA, RHIT, CCS, CCS-P) or AAPC credential (CPC, COC, CIC)

Tools

Coding Software

Electronic Health Record (EHR) systems

Job description

Remote Coding Specialists, Edits/Denials

Join to apply for the Remote Coding Specialists, Edits/Denials role at LexiCode

Remote Coding Specialists, Edits/Denials

Join to apply for the Remote Coding Specialists, Edits/Denials role at LexiCode

About Exela

Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner.

Health & Wellness

We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental income protection including short term insurance coverage is available. We also offer a 401(k)-retirement savings plan to assist eligible employees in saving for their retirement. Participants are provided access to financial wellness resources and retirement planning services.

About Exela

Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner.

Health & Wellness

We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental income protection including short term insurance coverage is available. We also offer a 401(k)-retirement savings plan to assist eligible employees in saving for their retirement. Participants are provided access to financial wellness resources and retirement planning services.

Military Hiring

Exela seeks job applicants from all walks of life and backgrounds including, but not limited to, those who are transitioning military members, veterans, reservists, National Guard members, military spouses and their family members. Individuals will be considered no matter their military rank or specialty.

LexiCode

Remote Medical Coder, Edits/Denials

Job Summary

As a Medical Coder at LexiCode, you will join a dynamic team of coding experts dedicated to delivering exceptional coding services to our valued clients. Your primary responsibility will be accurately assigning medical codes, ensuring compliance with coding guidelines and regulations.

Pay Disclosure

LexiCode is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The pay range for this position starts at $20.00-30.00 per hour; however, base pay offered may vary depending on job-related knowledge, skills, and experience. Bonus opportunities may be provided as part of the compensation package, in addition to a full range of medical, financial, and/or other benefits, dependent on the position offered.

Job Description

Essential Job Responsibilities

• Investigate and resolve coding edits and/or payer denials that arise during the claims processing and reimbursement cycle.
• Review and appeal insurance claim denials, ensuring accurate coding and billing practices to maximize reimbursement.
• Thoroughly review and analyze medical records to identify pertinent diagnoses, procedures, and treatments.
• Accurately assign ICD-10-CM, ICD-10-PCS, CPT and/or HCPCS codes as appropriate to precisely reflect clinical documentation.
• Stay abreast of evolving coding guidelines, regulations, and industry best practices through continuous research.
• Actively participate in coding audits and quality improvement initiatives to uphold and enhance coding accuracy standards.
• Maintain optimal productivity levels while adhering to established coding quality and efficiency benchmarks.
• Uphold strict patient confidentiality and privacy standards in strict compliance with HIPAA regulations.
  
  

Minimum Qualifications

• Possession of one of the following AHIMA credentials: RHIA, RHIT, CCS, CCS-P; or one of the following AAPC credentials: CPC, COC, or CIC.
• Minimum of 1 years of experience in Edits/Denials
• Proficiency in ICD-10-CM, ICD-10-PCS, CPT and/or HCPCS codes as appropriate, encompassing comprehensive knowledge of guidelines and conventions.
• Competence in utilizing coding software and electronic health record (EHR) systems.
• Strong analytical aptitude to interpret intricate medical documentation accurately.
• Detail-oriented approach, ensuring precision and accuracy in all coding assignments.
• Exceptional communication skills to facilitate effective collaboration with healthcare professionals.
• Strong organizational and time management capabilities to meet coding deadlines.
  
  

EEO Statement

Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

Exela recruiters or representatives will only contact you from emails ending with @exelaonline.com, @exelatech.com, @lexicode.com, @rustconsulting.com or @ersgroup.com. We would never ask you for payment or ask you to deposit a check into your personal bank account during the recruitment process.

Seniority level

• Seniority level

  Entry level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Sales and Business Development

• Industries

  Hospitals and Health Care

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